CPT® Code 14061

An adjacent tissue transfer or rearrangement is a surgical procedure aimed at addressing defects located on the eyelids, nose, ears, and/or lips. These defects can arise from various causes, including traumatic wounds, lacerations, or surgical excisions of lesions or scars. The procedure involves the careful evaluation of the primary defect to determine the most suitable method of tissue transfer or rearrangement. Techniques employed may include Z-plasty, W-plasty, V-Y-plasty, rotation flaps, advancement flaps, or double pedicle flaps. During the procedure, adjacent skin and subcutaneous tissue are incised and elevated while maintaining attachment at one or more tissue borders, which results in the creation of a secondary defect. To facilitate the movement of the skin flaps, the surrounding tissue is undermined. The elevated tissue is then repositioned to effectively cover the primary defect. In some cases, the transfer or rearrangement may also address the secondary defect, or alternatively, the secondary defect may be closed using a separately reportable skin graft. Accurate measurement of both the primary and secondary defects is essential, as it determines the appropriate coding for the procedure. Specifically, CPT® Code 14060 is utilized for defects measuring 10 square centimeters or less, while CPT® Code 14061 is designated for defects ranging from 10.1 square centimeters to 30 square centimeters.